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Broadmoor Drug Center Inc

Community/Retail Pharmacy in Houma, LA · enumerated 2006 · authorized official Dean Pellegrin, Owner Phcst.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417026360

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Registry record

Entity type Organization (Type 2)
Legal business name Broadmoor Drug Center Inc
Other name <Unavail>
Practice address 6096 W Park Ave, Houma, LA, 70364
Phone (985) 876-2584
Fax (985) 876-5050
Enumeration date Nov 7, 2006
Last updated in NPPES Sep 19, 2025

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 100IR (LA) Primary

Authorized official

Name Dean Pellegrin
Title Owner Phcst
Phone (985) 876-2584

Other identifiers

Identifier Type State Issuer
2028734 Other - PK
1205745 Medicaid LA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Broadmoor Drug Center Inc?
The NPI for Broadmoor Drug Center Inc is 1417026360, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Broadmoor Drug Center Inc?
NPPES lists Dean Pellegrin (Owner Phcst) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-19.